Prevalence of intimate partner violence and health implications for women using emergency departments and primary care clinics

Womens Health Issues. Jan-Feb 2004;14(1):19-29. doi: 10.1016/j.whi.2003.12.002.

Abstract

Objectives: To determine prevalence of intimate partner violence (IPV) among women accessing health care, factors that influence rates of abuse, barriers to disclosure, and associated health problems and perceptions of safety.

Methods: A convenience sample of women seeking health care completed 1268 anonymous surveys (75 in Spanish) while at 1 of 24 urban, suburban, or rural emergency departments or primary care clinics.

Results: Of women in this study, 50-57% had experienced physical and/or emotional abuse and 26% reported sexual abuse in their lifetime. In the past year, 28% reported emotional abuse, 12% physical abuse, 6% severe physical abuse, and 4% sexual abuse. Logistic regression models found that younger, less-educated, less-affluent women presenting to urban emergency departments reported the highest rates of physical abuse. Although 83% welcomed abuse screening, only 25% ever had been asked and 86% would disclose abuse if asked directly, respectfully, and confidentially. Abused women reported significantly lower health status ratings than nonabused women (p < 0.001). Emotional abuse was as strongly associated with health problems as physical abuse. The majority (70-93%) of women with headaches, stomach problems, chronic pain, vaginal bleeding, substance abuse, depression, and suicidal thoughts had experienced lifetime physical/emotional abuse.

Conclusions: Women experience many forms of abuse and present to a wide range of health care settings. The striking prevalence of IPV and associated emotional/physical health problems challenges providers to routinely assess for abuse in ways that minimize barriers to disclosure and enhance the development of an effective plan of care based on a patient's abuse experience.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health
  • Battered Women / psychology
  • Battered Women / statistics & numerical data*
  • Cross-Sectional Studies
  • Emergency Service, Hospital / statistics & numerical data*
  • Female
  • Health Status*
  • Humans
  • Midwestern United States / epidemiology
  • Prevalence
  • Primary Health Care / statistics & numerical data*
  • Psychophysiologic Disorders / diagnosis
  • Psychophysiologic Disorders / epidemiology*
  • Spouse Abuse / psychology
  • Spouse Abuse / statistics & numerical data*
  • Surveys and Questionnaires
  • Time Factors
  • Women's Health*